Live Oak Emergency Physicians PLLC
Emergency Medicine in Mesquite, TX. Organization (NPI-2).
NPI number1679040562
StatusActive
Last updated in NPPESApr 12, 2021
Details
- NPI
- 1679040562
- Entity type
- Organization (NPI-2)
- Legal business name
- Live Oak Emergency Physicians PLLC
- Organization subpart
- No
- Enumeration date
- Oct 29, 2018
- Certification date
- Apr 12, 2021
- Last updated
- Apr 12, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
Practice location
1011 N Galloway AveMesquite, TX 75149-2433
Phone 469-401-2386
Mailing address
Po Box 99102Las Vegas, NV 89193-9085
Other practice locations
7 Medical Pkwy
Dallas, TX 75234-7829
Dallas, TX 75234-7829
Phone 469-401-2386
Authorized official
Kathleen Kondas
Officer
9732511132
Is something wrong?
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